UNIVERSITY OF CENTRAL ARKANSAS (NPI# 1912543240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912543240 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CENTRAL ARKANSAS |
| Practice Address |
201 Donaghey Ave Uca Student Health Center Conway AR 72035-5001 |
| Practice Telephone | 5014503136 |
| Practice Fax Number | 5014503370 |
| Mailing Telephone | 5014503136 |
| Mailing Fax Number | 5014503370 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-12-26 |
| Authorized Official Name | DR. RANDY PASTOR (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5014503136 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
201 DONAGHEY AVE UCA STUDENT HEALTH CENTER |
| City | CONWAY |
| State | AR |
| Zip Code | 72035-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726922 | Alicia Landry | Dietitian, Registered | 201 Donaghey Ave, Mcalister 100, Conway, AR 72035 | 2020-09-25 |
| 1932638327 | Hyung Rock Lee | Specialist/Technologist | 201 Donaghey Ave, Prince Center 133d, Conway, AR 72035 | 2017-06-08 |
| 1720516289 | Wendy A Magbanua | Case Manager/Care Coordinator | 317 Lower Ridge Rd, Conway, AR 72035-0001 | 2017-05-30 |
| 1639227929 | Dominic L Moreno | Specialist/Technologist | 128 Uca Prince Ctr, 201 Donaghey, Conway, AR 72035-0001 | 2007-01-05 |
| 1770546152 | Ellen Epping | Specialist/Technologist | University of Central Arkansas, Prince Center 133e, Conway, AR 72035-0001 | 2006-04-07 |
| 1497965917 | James Arthur Gillaspy Jr. | Psychologist | 201 Donaghey Ave, Department of Psychology and Counseling, Conway, AR 72035-0001 | 2007-05-23 |
| 1982667465 | Stephen David Hornor | Specialist/Technologist | University of Central Arkansas, Prince Center - Room 133c, Conway, AR 72035-0001 | 2006-04-07 |
| 1831154335 | David Edward Strickland | Specialist/Technologist | 201 Donaghey Ave, Conway, AR 72035-5001 | 2006-04-18 |
| 1235749359 | Jm Wellness, LLC | Dietitian, Registered | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-08-04 |
| 1871123968 | Holly Jo Langster | Nurse Practitioner | 201 Donaghey Ave, Conway, AR 72035-5001 | 2020-01-17 |
| Find all providers in zip 72035 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513957 | Conway Regional Medical Center, Inc | Family Medicine | 1700 Altus St Ste 110, Conway, AR 72032-4299 | 2020-03-19 |
| 1588012728 | Arkansas Health Group | Family Medicine | 625 United Dr Ste 120a, Conway, AR 72032-7826 | 2016-05-27 |
| 1477999282 | Michael Paul Carson | Family Medicine | 605 United Dr, Conway, AR 72032 | 2013-05-20 |
| 1427335835 | Brieanna R Breeding | Family Medicine | 2100 Meadowlake Rd Ste 10, Conway, AR 72032-2569 | 2011-11-14 |
| 1710217104 | Billy R Mcbay Md Pa | Family Medicine | 505 E Dave Ward Dr, Ste 3, Conway, AR 72032-7825 | 2010-01-06 |
| 1417118076 | Alexander Tyler | Family Medicine | 455 Elsinger Blvd, Conway, AR 72032-4716 | 2008-06-17 |
| 1336317593 | James L Floyd Jr. | Family Medicine | 128a Professional Park Place, Agape Physicians Care, Conway, SC 29526-9260 | 2008-02-11 |
| 1326246190 | Thad Ridge Hardin | Family Medicine | 2425 Dave Ward Dr Ste 401, Conway, AR 72034 | 2007-07-03 |
| 1235336959 | James Austin Capps Jr. | Family Medicine | Conway Interfaith Clinic, Inc, 830 North Creek Drive, Conway, AR 72032 | 2007-06-27 |
| 1164529525 | Betty A Jones | Family Medicine | 1608 N Main Street, Conway, SC 29526-3572 | 2006-09-20 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.